The study of the influence of long-term care insurance on support system for the elderly in a remote island

摘要本研究旨在探讨长期照护保险对老年人支持系统的影响。研究对象为佐贺县某偏远岛屿长期护理保险1类和2类参保人。在这项研究中，我从生理、心理、社会和精神的角度考察了这种影响。调查于2005年6月至11月对第1类被保险人进行，采用访谈形式，采用半问卷调查工具。其中男性50人，女性70人。平均年龄为76.3岁（65 ~ 97岁）。31.7%与配偶同住，26.7%与配偶及子女同住，23.3%与子女同住，18.3%独居。引进长期护理保险后，在岛上建立了老人中心，并开始了日间洗浴服务。老年组自愿互相帮助老人。粘土服务和接送车对老年人的身心产生了良好的影响。长期护理保险没有对社会和精神产生影响。保险金对第1类被保险人的日常生活产生了经济上的影响。调查于2006年6月至12月对第2类被保险人进行，采用访谈形式，采用半问卷调查工具。其中男性51人，女性53人。平均年龄53.1岁（40 ~ 64岁）。51.9%与父母同住，20.2%与配偶同住，20.2%与配偶及子女同住，3.8%与子女同住，3.8%独居。长期护理保险对第二类被保险人的身体、心理、社会和精神没有影响。从日常生活的角度来看，保险费用似乎是第2类被保险人的负担。

The purpose of this study is to examine the influence of long-term care insurance on support system for the elderly. The subjects were the insured in category 1 and category 2 of long-term care insurance in a remote island in Saga prefecture. In this study I examined the influence from physical, psychological, social and spiritual viewpoints.The investigation into the insured in category 1 was conducted from June to November 2005, and conducted in the form of an interview, using a semi-questionnaire instrument. 50 were male and 70 were female. Average age was 76.3 years (65-97). 31.7% lived with their spouse, 26.7% lived with their spouse and children, 23.3% lived with their children, and 18.3% lived alone. After introducing long-term care insurance, the elderly center was built in the island, and the day service with a bath started. The elderly group volunteered to help the elderly each other. The clay service and a pick-up bus had a good influence on the elderly physically and psychologically. The long-term care insurance have had no influence socially or spiritually. The insurance fee seemed to influence economically a daily life of the insured in category 1.The investigation into the insured in category 2 was conducted from June to December 2006, and conducted in the form of an interview, using a semi-questionnaire instrument. 51 were male and 53 were female. Average age was 53.1 years (40-64). 51.9% lived with their parents, 20.2% lived with their spouse, 20.2% lived with their spouse and children, 3.8% lived with their children, and 3.8% lived alone. The long-term care insurance have had no influence on the insured in category 2 physically, psychologically, socially and spiritually. The insurance fee seemed to b 3 a burden for the insured in category 2 in terms of daily life.